| NPI | 1083022263 |
|---|---|
| Former Legal Business Name | DEMING CHILDREN'S DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KYE GRANT KINZER Dentist 505-892-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NM DD4143) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |